H. Rept. 116-542 - SUICIDE TRAINING AND AWARENESS NATIONALLY DELIVERED FOR UNIVERSAL PREVENTION ACT OF 2020116th Congress (2019-2020)
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116th Congress } { Report
HOUSE OF REPRESENTATIVES
2d Session } { 116-542
======================================================================
SUICIDE TRAINING AND AWARENESS NATIONALLY DELIVERED FOR UNIVERSAL
PREVENTION ACT OF 2020
_______
September 29, 2020.--Committed to the Committee of the Whole House on
the State of the Union and ordered to be printed
_______
Mr. Pallone, from the Committee on Energy and Commerce, submitted the
following
R E P O R T
[To accompany H.R. 7293]
The Committee on Energy and Commerce, to whom was referred
the bill (H.R. 7293) to amend the Public Health Service Act to
provide best practices on student suicide awareness and
prevention training and condition State educational agencies,
local educational agencies, and tribal educational agencies
receiving funds under section 520A of such Act to establish and
implement a school-based student suicide awareness and
prevention training policy, having considered the same, reports
favorably thereon with an amendment and recommends that the
bill as amended do pass.
CONTENTS
Page
I. Purpose and Summary..............................................3
II. Background and Need for the Legislation..........................3
III. Committee Hearings...............................................4
IV. Committee Consideration..........................................5
V. Committee Votes..................................................5
VI. Oversight Findings...............................................5
VII. New Budget Authority, Entitlement Authority, and Tax Expenditures5
VIII.Federal Mandates Statement.......................................5
IX. Statement of General Performance Goals and Objectives............6
X. Duplication of Federal Programs..................................6
XI. Committee Cost Estimate..........................................6
XII. Earmarks, Limited Tax Benefits, and Limited Tariff Benefits......6
XIII.Advisory Committee Statement.....................................6
XIV. Applicability to Legislative Branch..............................6
XV. Section-by-Section Analysis of the Legislation...................6
XVI. Changes in Existing Law Made by the Bill, as Reported............7
The amendment is as follows:
Strike all after the enacting clause and insert the
following:
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Suicide Training and Awareness
Nationally Delivered for Universal Prevention Act of 2020'' or the
``STANDUP Act of 2020''.
SEC. 2. STUDENT SUICIDE AWARENESS AND PREVENTION TRAINING.
(a) In General.--Title V of the Public Health Service Act is amended
by inserting after section 520A of such Act (42 U.S.C. 290bb-32) the
following:
``SEC. 520B. STUDENT SUICIDE AWARENESS AND PREVENTION TRAINING
POLICIES.
``(a) In General.--As a condition on receipt of funds under section
520A, each State educational agency, local educational agency, and
Tribal educational agency that receives such funds, directly or through
a State or Indian Tribe, for activities to be performed within
secondary schools, including the Project AWARE State Education Agency
Grant Program, shall--
``(1) establish and implement a school-based student suicide
awareness and prevention training policy;
``(2) consult with stakeholders (including principals,
teachers, parents, local Tribal officials, and other school
leaders) in the development of the policy under subsection
(a)(1); and
``(3) collect and report information in accordance with
subsection (c).
``(b) School-Based Student Suicide Awareness and Prevention Training
Policy.--A school-based student suicide awareness and prevention
training policy implemented pursuant to subsection (a)--
``(1) shall be evidence-based;
``(2) shall be culturally and linguistically appropriate;
``(3) shall provide evidence-based training to students in
grades 6 through 12, in coordination with school-based mental
health service providers as defined in section 4102(6) of the
Elementary and Secondary Education Act of 1965, if applicable,
regarding--
``(A) suicide education and awareness, including
warning signs of self-harm or suicidal ideation;
``(B) methods that students can use to seek help for
themselves and others; and
``(C) student resources for suicide awareness and
prevention;
``(4) shall provide for retraining of such students every
school year;
``(5) may last for such period as the State educational
agency, local educational agency, or Tribal educational agency
involved determines to be appropriate;
``(6) may be implemented through any delivery method,
including in-person trainings, digital trainings, or train-the-
trainer models; and
``(7) may include discussion of comorbidities or risk factors
for suicidal ideation or self-harm, including substance misuse,
sexual or physical abuse, mental illness, or other evidence-
based comorbidities and risk factors.
``(c) Collection of Information and Reporting.--Each State
educational agency, local educational agency, and Tribal educational
agency that receives funds under section 520A shall, with respect to
each school served by the agency, collect and report to the Secretary
the following information:
``(1) The number of student trainings conducted.
``(2) The number of students trained, disaggregated by age
and grade level.
``(3) The number of help-seeking reports made by students
after implementation of such policy.
``(d) Evidence-Based Program Listing.--The Secretary of Health and
Human Services shall coordinate with the Secretary of Education to make
publicly available the policies established by State educational
agencies, local educational agencies, and Tribal educational agencies
pursuant to this section and the training that is available to students
and teams pursuant to such policies, including identification of
whether such training is available to trainees at no cost.
``(e) Implementation Timeline.--A State educational agency, local
educational agency, or Tribal educational agency shall establish and
begin implementation of the policies required by subsection (a)(1) not
later than the beginning of the third fiscal year following the date of
enactment of this section for which the agency receives funds under
section 520A.
``(f) Definitions.--In this section and section 520B-1:
``(1) The term `evidence-based' has the meaning given to such
term in section 8101 of the Elementary and Secondary Education
Act of 1965.
``(2) The term `local educational agency' has the meaning
given to such term in section 8101 of the Elementary and
Secondary Education Act of 1965.
``(3) The term `State educational agency' has the meaning
given to such term in section 8101 of the Elementary and
Secondary Education Act of 1965.
``(4) The term `Tribal educational agency' has the meaning
given to the term `tribal educational agency' in section 6132
of the Elementary and Secondary Education Act of 1965.
``SEC. 520B-1. BEST PRACTICES FOR STUDENT SUICIDE AWARENESS AND
PREVENTION TRAINING.
``The Secretary of Health and Human Services, in consultation with
the Secretary of Education and the Bureau of Indian Education, shall--
``(1) publish best practices for school-based student suicide
awareness and prevention training, pursuant to section 520B,
that are based on--
``(A) evidence-based practices; and
``(B) input from relevant Federal agencies, national
organizations, Indian Tribes and Tribal organizations,
and related stakeholders;
``(2) publish guidance, based on the best practices under
paragraph (1), to provide State educational agencies, local
educational agencies, and Tribal educational agencies with
information on student suicide awareness and prevention best
practices;
``(3) disseminate such best practices to State educational
agencies, local educational agencies, and Tribal educational
agencies; and
``(4) provide technical assistance to State educational
agencies, local educational agencies, and Tribal educational
agencies.''.
SEC. 3. EFFECTIVE DATE.
The amendments made by this Act shall only apply with respect to
applications for assistance under section 520A of the Public Health
Service Act (42 U.S.C. 290bb-32) that are submitted after the date of
enactment of this Act.
I. Purpose and Summary
H.R. 7293, the ``Suicide Training and Awareness Nationally
Delivered for Universal Prevention Act of 2020'' or the
``STANDUP Act of 2020'', was introduced by Representatives
Scott Peters (D-CA), Gus Bilirakis (R-FL), Theodore E. Deutch
(D-FL), and Brian K. Fitzpatrick (R-PA) on July 22, 2020. This
bill would require State and Tribal educational agencies that
receive certain mental health grants to establish and implement
school-based student suicide awareness and prevention training
policies and collect information on such activities. The
training policies would be focused on grades six through 12 and
would train students on self-harm and suicidal ideation. The
bill also requires the publication of best practices for
school-based student suicide awareness and prevention training.
II. Background and Need for the Legislation
Suicide is in the top ten leading causes of death in the
United States.\1\ It is the second leading cause of death for
young Americans between the age of 10 and 34.\2\ Data show that
suicide rates among young people in Black communities are also
on the rise.\3\ In testimony, Dr. Jeffery Geller, President of
the American Psychiatric Association, highlighted that before
the coronavirus pandemic, ``. . . the suicide rate was the
highest it has been since the Second World War.''\4\ Now,
recent data show that as many as one in four students are
reporting having suicidal thoughts.\5\
---------------------------------------------------------------------------
\1\National Center for Health Statistics, Leading Causes of Death
(www.cdc.gov/nchs/fastats/leading-causes-of-death.htm) (accessed
September 21, 2020).
\2\National Center for Health Statistics, Leading Causes of Death
Reports, 1981-2018 (accessed September 19, 2020).
\3\`We're losing our kids': Black youth suicide rate rising far
faster than for whites; coronavirus, police violence deepen trauma, USA
Today (June 7, 2020) (www.usatoday.com/story/news/health/2020/06/07/
coronavirus-police-violence-boost-risksrising-black-youth-suicide/
2300765001/).
\4\House Committee on Energy and commerce, Testimony of Jeffery L
Geller, M.D., M.P.H., President, American Psychiatric Association (June
30, 2020).
\5\Czeisler ME, Lane RI, Petrosky E, et al. Mental Health,
Substance Use, and Suicidal Ideation During the COVID-19 Pandemic--
United States, June 24--30, 2020. MMWR Morb Mortal Wkly.
---------------------------------------------------------------------------
While the causes can be complicated, suicide and self-harm
are often preventable. In fact, eight out of ten people
considering suicide provided some sign of their intentions.\6\
The need to help students in preventing youth suicide and other
self-harm was raised before the Committee by Arriana Gross, a
high school student from Covington, Georgia, who argued in her
testimony the importance of training students to recognize
warning signs. She told the Committee, ``I recently had a
friend who was struggling and didn't feel comfortable talking
to her parents or a teacher. However, she was only comfortable
talking to me.'' She said that because of her student mental
health and wellness training, she ``knew how to have the
conversation with her and make sure she was supported.''
Student mental health and wellness trainings similar to
Arriana's training, which was provided by Sandy Hook Promise's
SAVE Promise Club, have been used in more than 3,000 schools
nationwide across 49 States.\7\
---------------------------------------------------------------------------
\6\Mental Health America, Suicide (www.mhanational.org/conditions/
suicide) (accessed September 21, 2020).
\7\Sandy Hook Promise, SAVE Promise Club (www.sandyhookpromise.org/
our-programs/save-promise-club/) (accessed September 21, 2020).
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H.R. 7293 would encourage schools to expand evidence-based
suicide prevention training to students and make public best
practices for such training as a condition of receiving funds
under the Substance Abuse and Mental Health Services
Administration (SAMHSA) Project AWARE grant program.
III. Committee Hearings
For the purposes of section 103(i) of H. Res. 6 of the
116th Congress, the following hearing was used to develop or
consider H.R. 7293:
The Subcommittee on Health held a legislative hearing on
June 30, 2020, to consider H.R. 7293, the ``Suicide Training
and Awareness Nationally Delivered for Universal Prevention Act
of 2020'' or the ``STANDUP Act of 2020'', and 21 other bills.
The hearing was entitled ``High Anxiety and Stress: Legislation
to Improve Mental Health During Crisis.'' The Subcommittee
received testimony from the following witnesses:
Former Representative Patrick J. Kennedy,
Founder, the Kennedy Forum
Arthur C. Evans, Jr., Ph.D., Chief Executive
Officer, American Psychological Association
Jeffrey L. Geller, M.D., M.P.H., President,
American Psychiatric Association, Professor of
Psychiatry and Director of Public Sector Psychiatry at
the University of Massachusetts Medical School
Worcester Recovery Center and Hospital
Arriana Gross, National Youth Advisory Board
Member, Sandy Hook Promise Students Against Violence
Everywhere (SAVE) Promise Club
IV. Committee Consideration
Representatives Peters (D-CA), Bilirakis (R-FL), Deutch (D-
FL), and Fitzpatrick (R-PA) introduced H.R. 7293, the ``Suicide
Training and Awareness Nationally Delivered for Universal
Prevention Act of 2020'' or the ``STANDUP Act of 2020'', on
June 22, 2020, and the bill was referred to the Committee on
Energy and Commerce. H.R. 7293 was then referred to the
Subcommittee on Health on June 23, 2020. A legislative hearing
was held on the bill on June 30, 2020.
On September 9, 2020, H.R. 7293 was discharged from further
consideration by the Subcommittee on Health as it was called up
for markup by the full Committee on Energy and Commerce. The
full Committee met in virtual open markup session on September
9, 2020, pursuant to notice, to consider H.R. 7293. During
consideration of the bill, a manager's amendment offered by Mr.
Peters of California was agreed to by a voice vote. At the
conclusion of markup of the bill, Mr. Pallone, Chairman of the
committee, moved that H.R. 7293 be ordered reported favorably
to the House, amended. The motion on final passage was agreed
to by the Committee by a voice vote, a quorum being present.
V. Committee Votes
Clause 3(b) of rule XIII of the Rules of the House of
Representatives requires the Committee to list each record vote
on the motion to report legislation and amendments thereto. The
Committee advises that there were no record votes taken on H.R.
7293, including the motion for final passage of the bill.
VI. Oversight Findings
Pursuant to clause 3(c)(1) of rule XIII and clause 2(b)(1)
of rule X of the Rules of the House of Representatives, the
oversight findings and recommendations of the Committee are
reflected in the descriptive portion of the report.
VII. New Budget Authority, Entitlement Authority, and Tax Expenditures
Pursuant to 3(c)(2) of rule XIII of the Rules of the House
of Representatives, the Committee adopts as its own the
estimate of new budget authority, entitlement authority, or tax
expenditures or revenues contained in the cost estimate
prepared by the Director of the Congressional Budget Office
pursuant to section 402 of the Congressional Budget Act of
1974.
The Committee has requested but not received from the
Director of the Congressional Budget Office a statement as to
whether this bill contains any new budget authority, spending
authority, credit authority, or an increase or decrease in
revenues or tax expenditures.
VIII. Federal Mandates Statement
The Committee adopts as its own the estimate of Federal
mandates prepared by the Director of the Congressional Budget
Office pursuant to section 423 of the Unfunded Mandates Reform
Act.
IX. Statement of General Performance Goals and Objectives
Pursuant to clause 3(c)(4) of rule XIII, the general
performance goal or objective of this legislation is to provide
best practices on student suicide awareness and prevention
training and condition State educational agencies, local
educational agencies, and tribal educational agencies receiving
funds under section 520A of the Public Health Service Act to
establish and implement a school-based student suicide
awareness and prevention training policy.
X. Duplication of Federal Programs
Pursuant to clause 3(c)(5) of rule XIII, no provision of
H.R. 7293 is known to be duplicative of another Federal
program, including any program that was included in a report to
Congress pursuant to section 21 of Public Law 111-139 or the
most recent Catalog of Federal Domestic Assistance.
XI. Committee Cost Estimate
Pursuant to clause 3(d)(1) of rule XIII, the Committee
adopts as its own the cost estimate prepared by the Director of
the Congressional Budget Office pursuant to section 402 of the
Congressional Budget Act of 1974.
XII. Earmarks, Limited Tax Benefits, and Limited Tariff Benefits
Pursuant to clause 9(e), 9(f), and 9(g) of rule XXI, the
Committee finds that H.R. 7293 contains no earmarks, limited
tax benefits, or limited tariff benefits.
XIII. Advisory Committee Statement
No advisory committee within the meaning of section 5(b) of
the Federal Advisory Committee Act was created by this
legislation.
XIV. Applicability to Legislative Branch
The Committee finds that the legislation does not relate to
the terms and conditions of employment or access to public
services or accommodations within the meaning of section
102(b)(3) of the Congressional Accountability Act.
XV. Section-by-Section Analysis of the Legislation
Section 1. Short title
Section 1 designates that the short title may be cited as
the ``Suicide Training and Awareness Nationally Delivered for
Universal Prevention Act of 2020'' or the ``STANDUP Act of
2020''.
Sec. 2. Student suicide awareness and prevention training
Section 2 amends the Public Health Service Act to add two
new sections 520B and 520B-1. The new section 520B requires
State education agencies, local educational agencies, and
Tribal educational agencies that receive Project AWARE grants
from the Substance Abuse and Mental Health Administration
(SAMHSA) to establish and implement school-based student
suicide and prevention training policies. These policies must
be developed in consultation with stakeholders and must include
the collection and reporting of information on the impact of
the policies.
The policies implemented under this section must be
evidence-based, culturally and linguistically appropriate, and
target students in grades 6 through 12. The training must
include suicide education and awareness, methods that students
can use to seek help for themselves and others, and other
student suicide awareness and prevention resources. The
trainings must include retraining of students every school year
and can be implemented through various means such as in-person
trainings or digital trainings. These policies may also include
discussion of comorbidities or other risk factors.
The educational agencies under this section are required to
collect and report certain information to the Secretary of
Education, including the number of trainings conducted; the
number of students trained, disaggregated by age and grade
level; and the number of help-seeking reports after policy
implementation.
The Secretary of Health and Human Services, with the
Secretary of Education, is directed to make publicly available
the policies established by educational entities and the
training available to students, including which training is
available at no cost.
The educational agencies under this section must begin
implementation of the policies not later than three fiscal
years after the day of enactment of this Act.
The terms ``evidence-based'', ``local educational agency'',
``State educational agency'', and ``Tribal educational agency''
all have the meaning given to those terms under the Elementary
and Secondary Education Act of 1965.
The new section 520B-1 requires the Secretary of Health and
Human Services, in consultation with the Secretary of Education
and the Bureau of Indian Education, to publish and disseminate
best practices, guidance, and technical assistance for school-
based student suicide awareness and prevention training.
Sec. 3. Effective date
Section 3 states that the amendments made by this bill only
apply to applications for assistance under section 520A of the
Public Health Serve Act that are submitted after enactment.
XVI. Changes in Existing Law Made by the Bill, as Reported
In compliance with clause 3(e) of rule XIII of the Rules of
the House of Representatives, changes in existing law made by
the bill, as reported, are shown as follows (new matter is
printed in italics and existing law in which no change is
proposed is shown in roman):
PUBLIC HEALTH SERVICE ACT
* * * * * * *
TITLE V--SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION
* * * * * * *
Part B--Centers and Programs
* * * * * * *
Subpart 3--Center for Mental Health Services
* * * * * * *
SEC. 520B. STUDENT SUICIDE AWARENESS AND PREVENTION TRAINING POLICIES.
(a) In general.--As a condition on receipt of funds under
section 520A, each State educational agency, local educational
agency, and Tribal educational agency that receives such funds,
directly or through a State or Indian Tribe, for activities to
be performed within secondary schools, including the Project
AWARE State Education Agency Grant Program, shall--
(1) establish and implement a school-based student
suicide awareness and prevention training policy;
(2) consult with stakeholders (including principals,
teachers, parents, local Tribal officials, and other
school leaders) in the development of the policy under
subsection (a)(1); and
(3) collect and report information in accordance with
subsection (c).
(b) School-Based student suicide awareness and prevention
training policy.--A school-based student suicide awareness and
prevention training policy implemented pursuant to subsection
(a)--
(1) shall be evidence-based;
(2) shall be culturally and linguistically
appropriate;
(3) shall provide evidence-based training to students
in grades 6 through 12, in coordination with school-
based mental health service providers as defined in
section 4102(6) of the Elementary and Secondary
Education Act of 1965, if applicable, regarding--
(A) suicide education and awareness,
including warning signs of self-harm or
suicidal ideation;
(B) methods that students can use to seek
help for themselves and others; and
(C) student resources for suicide awareness
and prevention;
(4) shall provide for retraining of such students
every school year;
(5) may last for such period as the State educational
agency, local educational agency, or Tribal educational
agency involved determines to be appropriate;
(6) may be implemented through any delivery method,
including in-person trainings, digital trainings, or
train-the-trainer models; and
(7) may include discussion of comorbidities or risk
factors for suicidal ideation or self-harm, including
substance misuse, sexual or physical abuse, mental
illness, or other evidence-based comorbidities and risk
factors.
(c) Collection of information and reporting.--Each State
educational agency, local educational agency, and Tribal
educational agency that receives funds under section 520A
shall, with respect to each school served by the agency,
collect and report to the Secretary the following information:
(1) The number of student trainings conducted.
(2) The number of students trained, disaggregated by
age and grade level.
(3) The number of help-seeking reports made by
students after implementation of such policy.
(d) Evidence-Based program listing.--The Secretary of Health
and Human Services shall coordinate with the Secretary of
Education to make publicly available the policies established
by State educational agencies, local educational agencies, and
Tribal educational agencies pursuant to this section and the
training that is available to students and teams pursuant to
such policies, including identification of whether such
training is available to trainees at no cost.
(e) Implementation timeline.--A State educational agency,
local educational agency, or Tribal educational agency shall
establish and begin implementation of the policies required by
subsection (a)(1) not later than the beginning of the third
fiscal year following the date of enactment of this section for
which the agency receives funds under section 520A.
(f) Definitions.--In this section and section 520B-1:
(1) The term ``evidence-based'' has the meaning given
to such term in section 8101 of the Elementary and
Secondary Education Act of 1965.
(2) The term ``local educational agency'' has the
meaning given to such term in section 8101 of the
Elementary and Secondary Education Act of 1965.
(3) The term ``State educational agency'' has the
meaning given to such term in section 8101 of the
Elementary and Secondary Education Act of 1965.
(4) The term ``Tribal educational agency'' has the
meaning given to the term ``tribal educational agency''
in section 6132 of the Elementary and Secondary
Education Act of 1965.
SEC. 520B-1. BEST PRACTICES FOR STUDENT SUICIDE AWARENESS AND
PREVENTION TRAINING.
The Secretary of Health and Human Services, in consultation
with the Secretary of Education and the Bureau of Indian
Education, shall--
(1) publish best practices for school-based student
suicide awareness and prevention training, pursuant to
section 520B, that are based on--
(A) evidence-based practices; and
(B) input from relevant Federal agencies,
national organizations, Indian Tribes and
Tribal organizations, and related stakeholders;
(2) publish guidance, based on the best practices
under paragraph (1), to provide State educational
agencies, local educational agencies, and Tribal
educational agencies with information on student
suicide awareness and prevention best practices;
(3) disseminate such best practices to State
educational agencies, local educational agencies, and
Tribal educational agencies; and
(4) provide technical assistance to State educational
agencies, local educational agencies, and Tribal
educational agencies.
* * * * * * *
[all]